Doctor Name: | STACY M. SMITH |
NPI Number: | 1255532495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LD |
License Number: | LD002671 |
Business Practice Address: | 261 Parkway Dr Ne Atlanta, GA - 303121210 |
Business Phone Number: | 4042656468 |
Business Fax Number: | |
Mailing Address: | 3501 Waldrop Trl, DECATUR |
State: | GA |
Postal Code: | 300347463 |
Phone Number: | 4042292768 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |